Provider Demographics
NPI:1134108004
Name:PARSONS, SASCHA (MD)
Entity Type:Individual
Prefix:
First Name:SASCHA
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S STORY ST
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-4739
Mailing Address - Country:US
Mailing Address - Phone:515-432-4444
Mailing Address - Fax:515-432-1331
Practice Address - Street 1:120 S STORY ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:IA
Practice Address - Zip Code:50036-4739
Practice Address - Country:US
Practice Address - Phone:515-432-4444
Practice Address - Fax:515-432-1331
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA33461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1134108004Medicaid
IA0221432Medicaid
IA080163257OtherRR MEDICARE
IAI1415Medicare PIN
IA080163257OtherRR MEDICARE